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Alaska rates for HCPCS 0015M

Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical steroid risk for adrenal cortical carcinoma, adenoma, or other adrenal malignancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $10,232.93 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $6,309.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $4,168.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,011.87 / $5,248.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,630.78 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $2,630.27 / $3,981.07